Betsy Cohen, L.C.S.W.

Key facts

NPI

1063558799

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

C4075 (CA)

Practice address

905 Santa Fe Ave
Albany, CA 94706-2119

Phone

(510) 527-1131

Fax

(510) 843-6703

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063558799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 MILLER AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947081754",
            "telephone_number": "510-527-1131",
            "fax_number": "510-843-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SANTA FE AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062119",
            "telephone_number": "510-527-1131",
            "fax_number": "510-843-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "BETSY",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "C4075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, CA

• Christine Ciavarella
• Cindy Hill-Ford
• City of Albany Fire Department
• Corina Clark-Derman, FNP
• Andrea Clark, PT
• George David Cohen, LCSW
• Stefan B. Cohen, D.C.
• Evan Scott Collier, M.D.
• Andrew Condey, PH.D.
• Kristen Blythe Conner, L.AC., C.M.T.

All providers in Albany, CA · Clinical Social Worker in California